Multiple oesophago-respiratory fistulae: sequelae of pulmonary tuberculosis in retroviral infection
Singapore medical journal
; : e104-6, 2014.
Article
en En
| WPRIM
| ID: wpr-337828
Biblioteca responsable:
WPRO
ABSTRACT
Pulmonary tuberculosis (PTB) is a common infectious disease worldwide. However, mediastinal tuberculous lymphadenitis complicated by oesophageal involvement and oesophago-respiratory fistula is now uncommon due to improved anti-tuberculous regimes and better general awareness. The overall incidence of acquired oesophago-respiratory fistula due to infection is low, and therefore, the lesion is not often a frontrunner in differential diagnosis. Still, tuberculous oesophago-respiratory fistulae can potentially occur in patients with retroviral disease, as they tend to have atypical and more virulent manifestations. In this study, we report the case of multiple oesophago-respiratory fistulae in a patient with PTB and retroviral disease, and highlight the computed tomography features of these lesions as an atypical presentation of PTB in retroviral disease. Clinicians should suspect oesophago-respiratory fistulae if patients present with Ono’s sign, and remain particularly vigilant for patients with underlying PTB and retroviral disease, as early diagnosis and treatment could help to reduce mortality.
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Patología
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Retroviridae
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Tráquea
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Tuberculosis Ganglionar
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Tuberculosis Pulmonar
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Radiografía Torácica
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Tomografía Computarizada por Rayos X
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Resultado del Tratamiento
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Diagnóstico
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Diagnóstico Diferencial
Tipo de estudio:
Diagnostic_studies
/
Screening_studies
Límite:
Adult
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Humans
/
Male
Idioma:
En
Revista:
Singapore medical journal
Año:
2014
Tipo del documento:
Article